How to win a workers’ comp hearing in Chicago

If you’re wondering how to win a workers’ comp hearing in Chicago, the focus is on proving that your injury occurred at work, that you were performing your job duties, and that no disqualifying factors apply.

If you’re badly injured and your ability to work is in question, you may not be in a position to gather evidence and build your case on your own. You may not even know where to start. A Chicago workers’ compensation attorney can advise you of your options if your workers’ compensation claim is denied and represent you in the workers’ compensation hearing.

lawyer with client at a hearing - How to win a workers' comp hearing in Chicago

What should I do if my Illinois workers’ comp case is denied?

First, determine why the claim was denied. You may be able to rectify it without a hearing or an appeal. For example, if you missed submitting a critical piece of documentation that your employer or their insurance company needs to process your claim, sending the supporting document may be enough for your claim to be approved.

However, your claim could be denied for reasons other than a clerical or filing error. Your employer or their insurance company could deny the claim for many reasons, including:

  • Failure to report the injury within 45 days
  • Lack of sufficient medical documentation or disputes over authorized medical treatment
  • Employer claims that the injury is not work-related
  • Your injury is a pre-existing condition (although you can get workers’ comp if you can prove that your work injury or conditions aggravated a pre-existing condition)
  • You were under the influence of drugs or alcohol at the time of the accident

Some of these reasons are valid; Illinois law specifically states that an employer can deny a workers’ comp claim if the employee was under the influence of drugs or alcohol, for example. Other times, disputes arise over whether the injury meets the requirements of Illinois workers’ compensation law. When that happens, legal guidance becomes important.

How do you strengthen your case at a workers’ compensation hearing?

Getting the result you want in a workers’ compensation claim appeal requires building a multi-layered argument proving that your claim meets the requirements of Illinois workers’ compensation law.  Your lawyer’s strategy will depend on why the claim was denied.

What can a lawyer do to help me prove my workplace injury is legitimate?

In cases where the insurer claimed that the injury or occupational disease was a pre-existing condition, your lawyer can compare your medical history before the accident to your post-accident medical treatment to prove that the medical condition was not present before the accident.

Or, maybe the insurer claims that you aren’t injured as badly as you claim, and should be returning to work earlier, or that you don’t need rehabilitative treatment. In these cases, attorneys often work with the injured worker’s treating physicians. Those medical providers may provide testimony or written opinions about the extent of your injuries and the treatment you need.

Your lawyer may have co-workers and other witnesses to the accident testify about what they heard and saw. This helps establish that you were properly completing your assigned duties and not engaging in horseplay. Or, if your workplace has cameras, they may use a video of the accident to help establish your claim.

How your lawyer builds your case depends on your unique situation. However, you can strengthen your case by complying fully with Illinois workers’ compensation rules. Attend all your doctor’s appointments and follow-up appointments, go to physical therapy if your treating physician refers you, and stay in contact with your employer about your recovery and return-to-work date.

Get the legal help you need to win a workers’ comp hearing

If your workers’ compensation claim has been denied or you’ve been scheduled for a hearing, it’s important to understand your rights. Horwitz, Horwitz & Associates can review your case and explain your options. We offer free consultations, so call us today at (800) 985-1819 to discuss your claim.